Stephanie Nichole Gonzalez

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R204398 Issued in MD

Practice address

605 Global Way
Linthicum Heights, MD 21090-2222

Phone

(410) 789-7337

NPI assigned

Jul 19, 2021

Last updated

Apr 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: stephanie.harwell.1@7466.direct.athenahealth.com
• Direct secure messaging: stephanie.harwell.2@26214.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1992378053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 AMESBURY CT",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211461222",
            "telephone_number": "410-440-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 GLOBAL WAY",
            "city": "LINTHICUM HEIGHTS",
            "state": "MD",
            "postal_code": "210902222",
            "telephone_number": "410-789-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "STEPHANIE",
        "middle_name": "NICHOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R204398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Fritz, CRNP
• Phillip Fulcher
• Jada Gaskins
• Celeste Briana Gibson, PHARMD
• Usha Gollapalli, M.D.
• Demyle Hanna
• Carly Nicole Harvey
• Hill-Rom Company Inc
• Kalaya J Hodges
• Kiara Hopson

• Pediatric Nurse Practitioner in Linthicum Heights, MD
• Providers in Linthicum Heights, MD by specialty
• Pediatric Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.